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AF - 46378Villa.ge of Fridley, Minn. BUILDING PERMIT �°• 19 2 4 Date: . .?`.�if .�. . . ?': .�� .�. . . * .`:' : . . . . . . . . � .#�� "�' f Owner �`: . �'-� ./. . :��it�'��!.': . . . Builder.F' . . . . .'��.Gr.�e'�:�.'i�"�. . . . . . . . . . . . � /� Address :'�'*. ��i?�. . .,j'��'�'•�'',�.�. .frn'. !�n'l��i Address . .. .. . . . .. . . . . . . . . . . . . . . .. . . .. . .. . .. .. .. .. . LOCATION OF BUILDWG No.�„�.,�� . . . . . Street . . .��(',�:�.�:ti✓. . .�f-:�,.�}.�. :":'� .�'j, . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot .............. Block ...... ........... Addition or Sub-Division ....................................... Corner Lot ........... Inside Lot ........... Setback ........... Sideyard . V��.��.r::"''"`....... DESCRIPTION OF BUILDING To be Used as: �t� t-�°. �,f. . . . . . Front ,�.�" . . . . Depth `.t.. :+�. . . . Height�" �.��Sq. Ft. . . . . . . . . Cu. F't. . . . . . . . . ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft ........ Type of Construction . • �: r��:�i':(�. . . Est. Cost . t'S. .�''.€. .':'"� . . . . . . . . To be Completed�P:�!.(. : :�. � In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. .....i..�. x:�:........�..�.�.•<�:�::'.`.�.a .:............. �r,, Tn co�►sideration of the payment of a fee of $. ." ., permit is hereby granted to, :��"� � -*.�. . fdr':'. . . . . . . . . . ��i�^��`.�r........ to construct tt�e building or addition as described above. This permit is gra.nted upon the e�ress condition that the person to whom it is granted and his agents, employees and worlanen, in all work done in, around and upon said building, or any gart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding loca.tion, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this pesznit may be revoked at any time upon violation of any of the provisions of said ordinances. �� . y : : . r .y(r : . '{iG� jrr. . . Building Inspector NOTICE: 7his permit does not cover the construction, inst�lla.tion or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see ,� Building lnspector fior separate permits for�iese items. -�, _ sue�ec� N O. City of Fridley � � � � 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � NO. � • COMMUNITY OEVELOPMENT DIV �� : ----- r � � PROTECTIVE INSPECTION SEC � ' /"'1 � CITY MALL FRIDLEV 55432 NUMBER i1EV DATE PAGE OF APPROVEO BV �""'�"� �'J 612-571-3450 9t0-F15 4/1/97 / � JOB ADDRESS 5036 Sughes Avenue NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �} 7 Carlson's Summit Ma.nor South Addition SHEET 2 PROPERTY OWNER MAIL ADDFESS 21P PHONE Darrell Scott 5036 Hughes Avenue NE 574-9238 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNEF MAIL ADDRESS 21P PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION L� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOFiK Reroof House (10 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I NAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHEN SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT 82S . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 3Z.00 Fire SC .H3 PLAN CHECK FEE TOTAL FEE $33.33 Si i� ATURE OF CON�R ,TOA OR uTHO i Ervr iDArE� WHEN PiiOPERIY LIDATED THIS IS YOUR PERMIT a � �i �'l% ' �sl/� 2%'' � , S�GNA uAEO OWNEAi�FOWNERBURDEHi �DATEi RLD �-w5P OtiTE NEW ADDN ALTER [l [] [l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION � J>. �a o,.:� ' Effective 1/1/97 ��z � � . , - . „ - : . , , �7;.�.%'L�l�. ,� _ :�._!1,. /, - L : - , - .� . _ � � s � Address: � ' - - 'r.[H �►•_. c• � . .� . - _ _ �.. ,. �._ � �� Atta.ch to this applica.tion, a Certificate of S�irvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVIIVIIIVT Length Width Height Length Width Height Length Width Hgt/Ground _ . �.. . n � � DD Tel. # Sq. Ft. Sq: Ft. Sq. Ft. CO1lStrl1G10II T�C: �� COSL: $ C*�� c�`� (Fee Schedule on Back) Driveway Curb Cut , Width Needed: Ft. + 6 Ft =' . Ft z$` °$ . . f . DATE: �i /� 7 APPLICANT: � � Tel. #�s� y- 9a38� Permit Fee Fire Surcharge Sta.te Sureharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .��? OC� $ • �'-�-' $ . �a $ $ $ $ $ $ � .��.:�3 CI'1`Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Co�ractors) Alt. °A" or Alt. "B" Above $450.00 Con�rvation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] .. . - BUII.DING PERMIT �'EE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE ,J` � � . ,, . ,, . . , , .. , , .. . _ _ __ .�.,. ... _ �... .,,_.,. ... _ _�.., , . . __..._,. , _ ... _�... .__ .:.,^ ,� ; �. $1 to $500 $21 (Minimum Fee is $21 plus surcharge) _ � $501 to $2,000 ,. $Zl for 5rst $5� plus $2.75 for each additional $1(?0 or fraction thereof, to and including $2,000 $2,001 to $25,000 $25,001 to $50,�0 $50,001 to $100,000 $62.25 for first $2,�0 plus $12.50 for each additional $1,� or fraction thereof, to and includ.ing $25,000 $349.75 for first $25,000 pius $9.00 for each additional $1,�0 or fraction thereof, to and iacluding $50,(}00 $574.75 for first $50,000 plus $6.25 for each additional $1,� or fra.ction thereof, to and including $1Q0;000 �� _._ $100,001 to $500,000 :: $88�.25,for;,�rst $1�,000 plus $5.00 for.each additioml � $1,� or fract�on thereof, to and mciudang� $500,�0 , .' . �.,: ' ' . -�..'..' �' -:':, , r... s ; y - �+ � - . � . . � . ."�; �'r }�, }_: „� .� .,', i �.:�? t �.'1 �Yh �_.+ �.`�.' . . $500,001 to $1,000,(�0 $2887.25 for �e firs# $SQO,OOb plus. $4 25 ,for each additional . _ > _,� - _. _ _. _ . ., . - --� - . �. -_.- ' � _ . _ , ° .. :.: : . . . �,� : . . .., j, $1,000 or fiaetion,thereof; �to and mcluding $1,�;000 : � . <. : , . .,. , . �z ,. . �- ''' ., . , �. . , _ - _. _. .. _.--- - _ __--. _ ._ . $1,00O,OOi and up $5012.25 for the first $1,(�}0,� plus $2:75 for each_additional $1,0� or fraction fihereof: - - - '. . - . -f:,� ... . _ DRIVEWAY. DEPRESSION. ESCROW = �con�re� c� str��,_o�y� ; � Alternate "A": Removal and.replacement of curb and gutter only - Driveway�=width plus 6 feet times $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide . approach with 6 inch depth - Driveway,,widtli plus 6 fe�t times $15.75: . VERIFICATION OF FOUNDATION - Permits for construction will be issued a minimum af 24 hours from the time ofapplication to allow for proper review of the proposed struciure and of the construction site. - A Certificate of Survey of the lot, showing the location c�f the foundation once it has it has been constructed will be required before proceeding with the framing. • 6 sue�ecr City of Fridle� AT THE TOP OF TME TW�NS g u i L D I N G P E R M i T r � � � ; y ��___ COMMUNITY DE�EIOPM�NT DIV. r � � PqOTECTIVE INSPECTION SEC. 1 . � `_-__�� "' �,� CITY NALI f RIOIE� '�.S�.i2 NUMBER L 612-571-345p 9taFt5 J08 ADDRESS 5036 Hu hes Avenue NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION DESCR. 4 7 Carlson' s SlT 2 PROPERTY OWNER MAIL ADORQS$ Roger & Leea Harris _ 3 CONTiiACTOF MAIL AODRESS Owner 4 ARCHITECT OR OESIGNER MAIL ADDRE33 5 ENGINEER MAII AOORESS 8 USE OF BUILDING Residential REv O�Tfi PAGE OF 9/30/98 � � ur...,. .... e ,... . ti. A .7 .] � �. ZIP IIP ��- PMONE PHONE PMONE 28046 RECEIPT NO. � � , AVPROVEO BY ,, SEE ATTACHED SNEET LICENSE NO LICENSE NO. IICENSE NO 7 CLASS OF WORK p NEW O ADOITION ❑ ALTERATION �} REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside house and garage; Windows _ 9 CHANGE Of USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. - �- i ,� SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL. PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTFiUCT�ON 20NING AUTMOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION ON WORK IS SUSPENDED Ofi ABANQONED FOR A PERIOO OF 120 OAYS A7 ' ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. I HEFEBY CEHTIFV THAT I NAYE READ ANO EXAMIN�O TNIS APPLICA710N AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAW$ VAIUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WI�� BE CAMPLIED WITM WMETMER SPECIFIEO HEREIN Ofi NOT. TME GRANTING Of A PERMIT �ZLOO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR GAMCEL TNE pEqMIT FEE PROVISIONS OF ANV OTHEH STATE OR LOCAI LAW REGULATING CON- STRUCTION OR TME PERFORMANCE OF CONSTFiUCTION 37. SI TUAE O� CON'AACTOq Op AUTMOp�1E0 oGENT IDAfE� 9 .�� :,• oc n�N�c�� nwNERBwLOERi �D1TE� � STALIS GROUP OFF OCCUPANCY�OAO CU FT ' PARKING GARAGES 3E : W1.1� �VO R PERM% T %� � // .� �l � � rrEw t ] ADDN [ ] ALTER [ ] "�� ConstructionAddress: Legal Description: _ � CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �� '�� \ J- �� -�( Owner Name & Address: �p��,� ,L � o@� /�� -/i S Tel. # ��( � °%Lf�� ( Contractor: ,�j� MN LICENSE # Address: LIVING AREA: �ARAGE AREA: DECK AREA: � OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il�i IPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. /�f/�,/.�sc� _ � 1vU; �2�.�JZe�S - Driveway Curb Cut Width Needed: � DATE: � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��5� $ l. l 0 $ ��-5-� $ $ $ $ $ $ $ � � /�� Estimated Cost: $ L �(�v . OC? (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ � CITY USE ONLY Tel. �# �"j �I� � ��i�J�. Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5(10 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000, 001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1, OOO or fraction thereof, to and including $500, 000 $2887.25 for the first $SOO,Q00 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 MOVING [ ] (763) 572-3604 FAX (763) 571-1287 �� `� t�l �� tive 1/1/04 �� - �� G ,`'�., J- WRECKING [✓jPERMIT APPLICATION G��,/+ ti� �� % � Job Address: ,5�3Ce ��P� �✓�- Legal Description: Lot- �f �3/0�l< � _ Owner & Address: �O� � F��-a G��s 11�� k�-.`� I�c��d- I Tel. # 7G3 SZC-'�5s'( Contractor: �. Address: State License # DESCRIP'rION OF BUILDING HOUSE: Length Width _f Height Sq. Ft. � GARAGE:Length `�_ Width ((� Height Sq. Ft. OTHER: Length Width Height Sq. Ft. Estimated Cost $ Approx. Completion Date Tel. # Cu. Ft. Cu . Ft . Cu . Ft . CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Faid: Yes [] or Mov�_ng Route : Coll�ct [$ ] Siqnature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB. SHALL BE REMOVED FROM SITE. ��- �- � -�� G�� Date Signature MOV1Ilg Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.Q0 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 PERMIT FEE: �;�� _ �� MINIMUM $20.00 Wrec ' - For each 1,000 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. STIPULATIONS: �` � � c� L Building � Inspe�tions 763-572-3604 DATE �' I/ � O b srrE a.nnt�ss a3 G THIS APPLICAN'T IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER YOUR E-MAIL ADDRESS ��J�� N Permit No. ` '?�"? Received By: Date Rec'd:� '� f - ADDRESS: U' C� �C. CITY STATE ZIP PHONE: N,AIVIE: 0`n S J' �AC pV� STATE LICENSE �! � 5 Z��?S EXP DATE J I O �1 ADDRESS: �I�O 1I� f�C�t S 0`n S°}'� CTTY c� k� STATE"_� ZIP .�� 3 PHONE �o I Z ^ � � — q [g '3� _ FAX INGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILYJNEW CONSTRUCTION STORIES O BASEMENT FINISH 0 ROOF O DECK ❑ SIDIPJG � SW1MIV1 TYPE OF WORK: I 0 1 DESCRIBE �VORK BEING SIZE OF IMPROVEMENT MJMBER OF SQUARES GARAGES PROPOSID SIZE: `��—� PROPOSED HEIGHT: � F S SIDIIVG ❑ Vinyl ❑ Aluminum ❑ Ol�er R'WDOWS II�i EXISTD�iG OPENINGS OYes ONo OR FOR NEW OPENDVGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WWDOW TO BE INSTALLED LENGTH ❑ HOUSE & GARAGE �Tl'ACMED GARAGE ❑ DETACHED GARAGE ❑Soffrt ❑ Trim O Fascia LOCATION OF WINDOWS � - ❑ DRAIN TILE ❑ 07'I-�R HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used F� FOR NEW CONSTRUC7'ION INCLUDWG DECKS, A.DDITIONS. & PORCHES SUBMIT: 1. Site Plan/Surrey showing the existing struchues and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATI N$ING��THE�t ��U.B.0 FEE SO �DU�LN� �E Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ $ 3'1 e � $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MV✓CC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: City of Fridley Attach THIS IS AI�i APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor 'ch r uires re 'ew an�ap roval of plans. � . r 1 SIGNATURE OF APPLIC PRINT NAME � S V` �� \ Q IA � S Page 2- Building Residential Application BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for constntction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed stru.cture and of the construction site. A Certificaxe of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 1`.1� 1 ['. t � �(� 1 - �^y.t�•i.v:A � -.... Tl';sj�-'�3' �,�' '• �?2.1�y ��'�� t�~��f'� "'' r--._ 7 v�'� %' �`�'�`�'��'; �� -`�'� �, ` __ F ��T��-� � ��•,� `'I. { �` y 3 _�....y . Ak • � ��7.��'',� �4:`�"'f �� f"y �t �lk��` , � :- ;,. ' d �� .,. �� S�� .' _ � �r �� , f�� . ,ea � ��o � �;; ■,�. �� r .. y � ' � '. . �� ` `� �'*�� t l i R `t k _ , °'# r �`" � � � f _ . � °.- �` � `in'c�- •, F� ��; a : �; �i� x` � � ?,�'�r. , � x , _ �;�; � x� H fi. y.i �. � ,. �� '�'i'�ti P � . 3 +- i �� ' � � .ex.<a +�- , . � y�i'' Y J� �� . 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Mlnnesota Singl� Famlly 5% 7391 OwmedAqent: .. . . . . : , 0 ... . . . . . .. Celtlng 1: Flat Cefiing or Sdssor Truss: Wall 1: W�ci Frame,l6" o.c.: Wlndow 1: Vfnyl Frame:Doubte Pane wrffh Low-E: WaA 2: Wood Frame, 16° o.c.: Window 2: Vinvl Frame:Double Pane wr�h Low-E: Door 1: Solld: Wall 3: Wood Frame,l6" o.c.: Permft # I �''s�i: Cats I Des Iq ner/Contractor: 224 38.0 0.0 128 19.0 0.0 9 112 19.0 0.0 9 21 112 19.0 0.0 0.330 0.330 0.330 7 7 3 5 3 7 7 Compllance Statemet►h. The proposed building design described here is cronsistent writh �e buUding plaits, speGflcattons, and other calculaUons submitted with the permft applicaUan. The proposed bullding has been designed to meet the 2000 IECC requirements in REScheck Verslon 3.7.3 and to c�mplV with the mandatory requirements Ilsted in the REScheck InspecUon Checklisi ilder/Desl ner Company Name � Date 9 Page 1 of 4 Tab/e i: M/Nmum ineWatl� Thlcknesa for C/rcu/st/n8 Hoi Water P/pes Insulatlon Thlckneas In Inches by Pipe Slz� Non-Clrculatlnp Runoute ClrculaUng Maina and Runouts Heated Water Temperature (°F� Up to 1° Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: M/n/mum /nsulat/on Thlckneee for HVAC P/pes Fluld Temp. Piping System Typeg Range(°� Heating Systems �a.! °; �..^uGa; r�t^;�ia �'CC �07 25C Low Temperature 120-200 $team t;ondensate (for fieeci waterj �ny Cooling Syatems ChiAed Water, Refrigerant and 40-55 Brine Below 40 N07ES TO FIELD: (Building Departrnent Use Only) Insulatlon Thlcknees In Inches by Pipe Slzes 2" Runouts 1° and L� 1.25" to 2.0" 2.5° to 4° ? � �.5 0.5 1.0 l.0 1.0 0.5 0.5 1.0 1.0 ,c �n 1.0 1.5 1.5 1.0 0.75 1.0 1.5 1.5 Page.4 of 4 or tapes. Tapes and masUcs are rated UL f 81 A or UL 181 B. Exception: ConUnuously welded arM locldng-iype longitudinal jolnts and �ams on ducts opera�ng at less than 2 in. w.g. (500 Pa). O The HVAC aystem provides a means for balanc(ng air and water systems. Tempereture CoMrols: ❑ Thermastats exist for each separate HVAC system. A manual or sutomatic means to partiaily restrict or shut off the heaUng and/or c�oMg input to each zone or fl�r is provided. Service YYater Heating: ❑ Water heaters with vertical pipe risers have a heat trap on both the inlet and ouUet unl� the water heater has an integral heat trap or is part of a dreulatlng system. ❑ ClrculaUng hot water pipe,s are insulated to the levels In Table 1. Clrculating Hot YVater Ssrstems: D ClrcutaUng hot water pipes are insulated to the levels in Table 1. Swrlmming Pools: ❑ All heated swimming pools have an onloff heater switch and a cover unless over 20% of the heatlng energy is irom non-depletable sources. Pool pumps have a Ume clock Heating and Coollrm Plping Insuletlon: ❑ HVAC piping conveying flutds above 105 degrees F or chllled fluids below 55 degrees F are insulated to the levets in Table 2. Page 3 of 4 CivicSight 7.0 - Additional Information CivicSight Toolbars RIYER'S I GIS, LLC. ��'� � Save Map, Copy Map, Email Map, Print Preview (Q �'�2 '4 � a + Zoom Tool, Pan Tool, Zoom in, Zoom out, Zoom to full extent, Zoom previous, Zoom to selected R Q� �-� fi� 0 Single selection tool, Box selection, Polygon selection, Circle selection, Line selection, Clear selection ��.� Identify Tool, Hotlink Tool, Measurement Tools, Label Points �� ' � On-Click notifications, Query Builder, Layer on Layer selection Ts �` Map Tips (Tax ID for Parcel Layer), Reference Map CivicSight Data Wizard—Administration of Map Layers, Databases, Hotlinks, Notifications, More... Map Laver Administration Database Administration The CivicSight Data Wizard in conjunction with an ArcView 9.1 will support personal geodatabase and SDE geodatabase fea- ture classes, including annotation. It takes one administrator to build and publish GIS information for an unlimited number of GIS users. Laptop data versions are now supported with an easy to use interface. For a demo of CivicSight, contact River's Edge GIS. River's Edge GIS, LLC. - Contact Information Joel Lenz Phone: 616.481.1861 River's Edge GIS, LLC Fax: 517.655.1025 2483 Bravender Road Email: joel@riversedgegis.com Williamston, Michigan 48895 WWW: www.riversedgegis.com �� : . . . - IVI� I ■ �� °��_�� v�.�: 3 :� ( RIVER'S E GIS, LLC. , CivicSight 7.0 - Main Window avl�d,�aeslom MavLeycs setutlm� Motlflc�bre ��7�ve�Q�aYQR� . Seadms N�m . . . . RBx Tods �i 6dv71mMasaNm6nv+ � IlOise PAm6ei � Sl�K� ��1C � N�M M � A IS E&2 W QlAM RIYE 3218a24 YNtLIA� 5T AC� TO WELL F1F1D qLiEy v 8 D�Iar sak� vaoels t� wmrad seardi 9 5 ard� La9e� SNdbwi �rto 9eaee Map Layne J OF vaamtarrn OA ranm�aac ❑O A WA7ERLII�ES *OFf OPEN WA7EH (Feahve) Or QoHO� ❑� � RIQIf-0FWAY Q+ rJ QT1' LO�UiS ]aerial f�wfles �� Fle� Ad�rt�tratl� �g-�lA��'E 9 � � � m �D� � m •OGa {� V� g � �� iv: � I �'r_ � � $ � �90 ` � � � p Z+° �, � HS�� w �ES.� 50� � a /\ � � ;� � � � � -oaa �07 L93 y1B oo, z� t� / -JO6 -oo� p - ��i -oaa � �soo+ � oz �nm 310 �009 39�-00] -009 3t6 3:3-409 Ad:� � s2rno: oaa �'o �3-0GJ res �a �y.oca aw aos f ' I StledetlRemas}0 � Zamdt �Ikrh�143Fmt � �fgr�py CivicSight 7.0 - Key Functionality Address, Owner, and Tax ID searches - Search for a parcel by one of these query types. Parcel Buffering - Select parcels with a user defined buffer radius. Mailing Labels - Generate mailing labels from selected parcels. Printing - Print the current map with options to include a legend, comments, or information about the selected parcel. Hotlinks - Generate hotlinks to virtually any document or image associated with a layer in CivicSight. Custom link to �pular document imaging solutions. Reporting - Administrator report designer, create multiple reports for CivicSight users. Query Builder - Search any of the layers or databases with this flexible query builder. Select by Layer - Select features from one layer using the selected features of another layer. Label Points - Place label points on your map for added information. Measurement Tools - Use one of four (4) measurement tools to derive area or. length from the map. 0 REScheck Softwrare Version 3.7.3 Inspection Checklist Dete: 07/18/06 Callings: ❑ Ceil(ng 1: Flat Ceiling or Scis�r Truss, R-38.0 caviiy InsulaUon i.ommenis: Above-Grade+ Walls: ❑ Wall 1: Wood Frame,l6" o.c., R-19.0 cavity ir�sulation CommeMs: ❑ Wall 2: Wood Frame, 16" o.c., R-19.0 cavity (r�sulaUon Comments: �j vvn8 3: 6ti� Fiiuiie, io o.i;., n-i$.0 i:iiihij� il�iilrafivii Comments: Windowe: ❑ Window 1: Vinyl Frame:Double Pane writh Low-E, U-factor: 0.330 For windows without labeled U-factors, d�xrit� features: �Panes Frame Type Thermal Break? Y� No Commer�ts: ❑ Window 2: Vinyl Frame:Double Pane wfthh Low-E, U-factor: 0.330 For wfndows wfthout labeled U-factors, de.scribe features: #?E.^.°O. F!.°,.^.:9 Tj'�,E T�:9!T$I Rr93k2 Y�. !`!Q (`•omments: Doars: ❑ Door 1: Solid, U-factor: 0.330 Comments: air Leaicage: ❑ Joints, penetraUons, and all other such openings tn the building envetope that aze sourc�s of atr leakage are sealed. ❑ Recessed Iights are 1) Type IC rated, or 2) InsiaAed inside an appropriate sir-Ught assembly wfth a 0.5" clearance from cmmbusUble materials. If non-IC rated, tixtur� are installed w(th a 3" clearance from irnsulation. dapor R�arder. � ii�tuiitu it�l filn `ivriiTii-ili-4YiiiiaF 3it�6 vi is6li�ii-Ve�ii4i� ii�8iii6� izliliiy�, wpiila�, itii� fluui3. Ma[edals Identlflcartlon: ❑ Materials and equipmeM are Installed in accordan� writh the manufacturer's installatlon IrrstrucUons. ❑ Materials and equipment are IdenUfled � that compllance can be determined. ❑ ni�anutacturer manuais for an instaiied "neaating ana cooiing equipment ana servi� water neating equipment have oeen provided. (�" Inaulsriinn R-vahuaa and �la�fng l l-far;tnrs arw clwarly markexi �n ihw bulidin� plana nr c�.iflr.nHnna ❑ Ir�sulation is Imstalled according to manutacture�'s Ir�structlons, in substanUal con4act wfth the surtace being insulated, and in a manner that achiev� the rated R-value wtthout compressing the Insulatlon. Duct Inaulatlon: ,,�,� ^L� �� ;,��^r.^..^.33"^::eL+ s; st:� �s� is�:.�R°1t..�S M R-.�.. �L'� ��.� ths b:s!!d! n�.�e Es�°..:.�!8t� *.� !?-° �. Cs:a ^.r.r� �r..: rl AII Joints; seams; and conne.ctbns are �wrelv Tastened wffh welds, Qaskets; mastics (adhe.atvesl; mastic-¢lus-embedded-fabric; Page 2 of 4 Building PLUMBING Pernut No.: �- �- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'a: �' �� o�� DATE �� Q� YOUR E-MAIL ADDRESS srrE AnnxESS �D 3 G' f f c% ��-S � �/ e THIS APPLICANT IS: ❑ OWNER I�CONTRACTOR PROPERTY N,�: ��E� ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: �3�t v wc S p l ��n b; �. ;,� ��tJ C� , SUBMIT A COPY OF STATE LICENSE # OC)?i 7_Si 3 P� EXP DATE . C Z-�(— �� YOUR STATE ADDRESS: `3 i Z� IitJp�Sln.l vtq �'G. �I�TY A��vlvua.�Gl 1S STATE ��i1ZIP S S Z//Z LICENSE WITH pHONE (v � Z- S 2�i � 1 f 7 Z FAX APPLICATION PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: �EW � �EPLACEMENT DETAILED DESCRIPTION OF WORK IG11-e I�t-v� �e-(/v�a �,e., ( PER MS 1GB.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for_the improvement, instailation-.orreplacement of a residential fixture, excluding the fixtures. (This should reflect only the cost�f labor )_.___ _- Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR FR{3JEL��'�E�OI��£fiED� $StJO,:FEES ARE BASED O�N $�0:��'ER FIXTURE, EXCEPT WI-IERE NOTED: .FIXTURESt �i�A�TEliALy `� r_'. ,:°_ NUMBER OF EACH BELOVi� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHT[JB �PIPING pv� cr�rucF.vss) SWIlvIMING POOL WATER SOFTNER ($35) QATHES WASHER P/KTfCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) P/DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IItRIGATION _ WATER METER _ OTHER . .. .. .. . �`�, '� ` �� ".� ��,.� .�� `�� C��,,�?�?� �.�� Permit Fee $ Number of fixtures @ $10.00 �--x $10 00 —�$ ,3-e' - [�U � k � Surchaz e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DLTE $ Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ 50 Tota1= $ �e� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires r�ew and approval of plans. SIGNATURE OF APPLICANT PRINT NAME ZCC C� �G +� e� DATE �� 3� �� ; � � . A , � � � '�'� ��_�� _ ��.e��L� � �� .� : � � �: � � P : . _. _. ,� �� . _ � x.. -- �,w-, - � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977